The govenor's budget proposes that the threshold for receiving nursing home level of care should be raised. If this language remains, this means that individuals seeking access to Elderly Waiver will have to meet a new level of care requirements.
The new criteria would require that a person would need to be considered "at risk" for instituationalization and in need of at least one of the followoing: assistance with activities of daily living (dressing, bathing, etc); have ongoing need for clinical monitoring or skilling nursing assessments; or assistance due to significant cognitive impairment or behavioral needs.
To be determined to be at risk for institutationalization, a person must have had at least one nursing facility admission during the previous 12 months that extended 90 days or more or be living alone with such present risk factors as maltreatment, neglect, falls, or subastantial sensory impairment.
There is a proposal for a new grant to fund services for people who no longer qualify for EW - approximately 1, 075 people! 87% of people receiving EW would continue to quality for EW. Of the 13% remaining, 97% would continue to access state plan services.
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